New Pulse Counseling Pllc | |
116 S Hussey St Walla Walla WA 99362-8517 | |
(509) 520-2701 | |
Not Available |
Full Name | New Pulse Counseling Pllc |
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Speciality | Social Worker |
Location | 116 S Hussey St, Walla Walla, Washington |
Authorized Official Name and Position | Janalee Wagner (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5092409546 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Pulse Counseling Pllc 5 W Alder St Ste 315 Walla Walla WA 99362-2863 Ph: (509) 520-2701 | New Pulse Counseling Pllc 116 S Hussey St Walla Walla WA 99362-8517 Ph: (509) 520-2701 |
NPI Number | 1396399325 |
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Provider Enumeration Date | 07/29/2019 |
Last Update Date | 01/16/2020 |
Certification Date | 01/16/2020 |
Medicare PECOS PAC ID | 9638409105 |
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Medicare Enrollment ID | O20190925003409 |
Identifier | Type | State | Issuer |
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1396399325 | NPI | - | NPPES |
Provider Name | Janalee Wagner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982913786 PECOS PAC ID: 0547590010 Enrollment ID: I20190930000244 |
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